|
#celiac hla-dq8
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$246.88
|
|
Cell count body fluid
|
$36.00 |
$36.00 |
$36.00 |
$63.52
|
|
Cell count w differential body fluid
|
$108.60 |
$108.60 |
$108.60 |
$92.56
|
|
Cell cryopreserve/storage
|
$117.00 |
$117.00 |
$117.00 |
$62.72
|
|
Cell function assay w/stim
|
$717.60 |
$717.60 |
$717.60 |
$325.76
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$497.40 |
$497.40 |
$497.40 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$35.00 |
$35.00 |
$35.00 |
$10,638.62
|
|
Cesarean section delivery only 59514
|
$8,935.80 |
$8,935.80 |
$8,935.80 |
$2,194.65
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$745.20 |
$745.20 |
$745.20 |
$3,011.40
|
|
#cf-97variants
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$2,685.00 |
$2,685.00 |
$2,685.00 |
$1,527.00
|
|
Change cystostomy tube simple
|
$317.40 |
$317.40 |
$317.40 |
$477.60
|
|
Change nephroureteral cath
|
$5,810.40 |
$5,810.40 |
$5,810.40 |
$3,083.97
|
|
Change of windpipe airway 31502
|
$436.20 |
$436.20 |
$436.20 |
$401.50
|
|
Change ureter stent percut
|
$14,328.60 |
$14,328.60 |
$14,328.60 |
$3,886.89
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$346.20 |
$346.20 |
$346.20 |
$617.60
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$595.20 |
$595.20 |
$595.20 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$522.60 |
$522.60 |
$522.60 |
$988.50
|
|
Chemo extend IV infus w/pump
|
$799.80 |
$799.80 |
$799.80 |
$748.55
|
|
Chemo intralesional over 7
|
$996.60 |
$996.60 |
$996.60 |
$346.29
|
|
Chest 2 vws w oblique
|
$424.20 |
$424.20 |
$424.20 |
$375.60
|
|
Chest apical lordotic proj
|
$424.20 |
$424.20 |
$424.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$310.20 |
$310.20 |
$310.20 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$310.20 |
$310.20 |
$310.20 |
$134.50
|
|
Chest Ultrasound
|
$364.20 |
$364.20 |
$364.20 |
$463.88
|
|
Chest X-ray
|
$424.20 |
$424.20 |
$424.20 |
$294.06
|
|
Chest X-ray (single view)
|
$424.20 |
$424.20 |
$424.20 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$257.40 |
$257.40 |
$257.40 |
$150.40
|
|
Chlamydia culture
|
$325.80 |
$325.80 |
$325.80 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$67.20 |
$67.20 |
$67.20 |
$66.60
|
|
Chlnggrphy intraop addl s&i
|
$243.00 |
$243.00 |
$243.00 |
$281.18
|
|
Chloride
|
$93.00 |
$93.00 |
$93.00 |
$42.63
|
|
Chloride 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$26.20 |
$26.20 |
$26.20 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
$6.96
|
|
Cholangiogram percutaneous compl
|
$3,342.00 |
$3,342.00 |
$3,342.00 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$291.00 |
$291.00 |
$291.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,951.60 |
$3,951.60 |
$3,951.60 |
$3,856.84
|
|
Cholesterol
|
$194.40 |
$194.40 |
$194.40 |
$45.76
|
|
Cholesterol body fluid
|
$267.00 |
$267.00 |
$267.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$496.80 |
$496.80 |
$496.80 |
$115.80
|
|
Chromatography
|
$395.40 |
$395.40 |
$395.40 |
$84.60
|
|
Chromogenic substrate assay
|
$138.00 |
$138.00 |
$138.00 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$3,739.80 |
$3,739.80 |
$3,739.80 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$867.00 |
$867.00 |
$867.00 |
$517.11
|
|
Chromosome analysis 5
|
$2,099.40 |
$2,099.40 |
$2,099.40 |
$644.80
|
|
Chronic urticaria - sendout
|
$122.40 |
$122.40 |
$122.40 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$342.00 |
$342.00 |
$342.00 |
$136.09
|
|
Cilastatin sodium injection
|
$206.40 |
$206.40 |
$206.40 |
$77.40
|
|
Ciliary transsleral therapy
|
$3,918.00 |
$3,918.00 |
$3,918.00 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$94.40 |
$94.40 |
$94.40 |
$35.65
|
|
Ciprofloxacin otic susp 6 mg
|
$876.80 |
$876.80 |
$876.80 |
$63.31
|
|
Cisplatin 1 mg/ml desensitization
|
$543.60 |
$543.60 |
$543.60 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.60 |
$66.60 |
$66.60 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$4,320.00
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$520.80
|
|
Closed tx humerus fx w/manip 24505
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$580.80 |
$580.80 |
$580.80 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,596.40 |
$3,596.40 |
$3,596.40 |
$2,569.28
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$564.00 |
$564.00 |
$564.00 |
$472.50
|
|
Clot factor xii hageman
|
$244.80 |
$244.80 |
$244.80 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$75.00 |
$75.00 |
$75.00 |
$56.85
|
|
Clozapine, 25 mg
|
$6.20 |
$6.20 |
$6.20 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,540.40 |
$2,540.40 |
$2,540.40 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$337.20 |
$337.20 |
$337.20 |
$489.60
|
|
Clsd tx elbow dislocation child 24640
|
$436.20 |
$436.20 |
$436.20 |
$465.21
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,904.80 |
$3,904.80 |
$3,904.80 |
$1,726.01
|
|
Clsd tx hip disloc without anes 27265
|
$2,275.80 |
$2,275.80 |
$2,275.80 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,703.20 |
$3,703.20 |
$3,703.20 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$3,329.40 |
$3,329.40 |
$3,329.40 |
$620.32
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,861.60 |
$3,861.60 |
$3,861.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$2,483.40 |
$2,483.40 |
$2,483.40 |
$573.52
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$580.80 |
$580.80 |
$580.80 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,540.40 |
$2,540.40 |
$2,540.40 |
$1,592.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,645.40 |
$2,645.40 |
$2,645.40 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$222.00 |
$222.00 |
$222.00 |
$89.76
|
|
Cmv pcr-sendout
|
$772.20 |
$772.20 |
$772.20 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.40 |
$7.40 |
$7.40 |
$11,888.50
|
|
Coagulation time activated teg
|
$44.40 |
$44.40 |
$44.40 |
$52.47
|
|
Coagulation time otr method
|
$78.00 |
$78.00 |
$78.00 |
$20.00
|
|
Cold agglutinin titer
|
$94.80 |
$94.80 |
$94.80 |
$52.00
|
|
Colistimethate sodium inj
|
$381.60 |
$381.60 |
$381.60 |
$82.71
|
|
Collagen imp urinary 2.5 ml
|
$2,022.60 |
$2,022.60 |
$2,022.60 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$424.20 |
$424.20 |
$424.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$75.60 |
$75.60 |
$75.60 |
$61.20
|
|
Collar cerv patriot adlt
|
$240.00 |
$240.00 |
$240.00 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$194.40 |
$194.40 |
$194.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$183.60 |
$183.60 |
$183.60 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,601.60 |
$2,601.60 |
$2,601.60 |
$2,147.00
|
|
Colonoscopy & polypectomy 44392
|
$4,000.80 |
$4,000.80 |
$4,000.80 |
$1,645.43
|
